Time is tight, after this exchange, the training time is completely gone.
Zheng Ren entered the system operating room for the first time. He did not put the patient in the position, but directly opened the knife.
According to normal surgery, the patient needs a stone removal position, and the two groups are made by Malay. One group was treated with abdominal cavity and pelvic cavity, and the other group was treated with perianal.
But now there is only Zheng Ren alone in the operating room of the system, and he does not have enough time to try again and again. The lack of surgery time can only provide Zheng Ren with up to three surgical anatomical opportunities and a basic understanding of the patient's condition.
Open the abdominal cavity, separate layer by layer, and the suction device **** the blood.
But the more urgent and chaotic, the more blood there is. The black and red blood in the aspirator is constantly sucking out, and it seems to be inexhaustible.
Zheng Renxuan looked at the attractor, what is the blood vessel that broke, causing such bleeding? If this is the case, instead of opening the stomach to stop bleeding, it is better to embolize the fractured artery by interventional surgery.
Perhaps the guess is correct. Zheng Ren’s mind was moved and there was an interventional surgical device at hand. He inserted the aspirator in the patient’s abdominal cavity and began to puncture the femoral artery.
Puncture, angiography, and Zheng Ren discovered that an abnormal branch of the internal iliac artery was to the posterior aspect of the pelvic cavity.
Because the relaxation of the perianal sphincter caused the glass bottle fragments to approach the blood vessel, and later the patient went to check in, the very thick artery was cut off directly.
What a special thing! Zheng Ren’s heart sighed.
Can't you die? However, he did not have more mood swings and began to observe the blood vessels.
Because it is an abnormal branch, it is not a large artery for blood supply to the organs. The possibility of embolism is theoretically present.
Just use a common embolic agent, but use a spring coil.
Zheng Ren began to embolize, super-selection is very skilled, several turns of the big turn, it is also very easy to pass, directly over-selected to less than 3cm below the bleeding position.
Can not use embolic agents, Zheng Ren hit a coil in the inside. At this time, he discovered that there is such a small type of spring coil. Where did this come from?
What about neurology? It won't be ah... With him, Zheng Ren will put the interventional surgery equipment aside and start a laparotomy.
Pure destructive surgery is extremely fast.
Destruction is always easier than construction, and Zheng Ren is getting more and more experience.
There are broken mites in the glass bottles, and Zheng Ren carefully avoids them.
In the operating room of the system, the general teacher who provided the operation was the experimental body, and the big pig's hoof perfectly simulated all the symptoms of the outside patient. However, Zheng Ren did not know whether the big pig's hooves would be too smart, so that even hepatitis B, AIDS, and syphilis were copied.
If that is the case, I am infected with these infectious diseases in the operating room of the system, but I can cry without tears.
After the incision, the local dissociation continues, and the bottle and the surrounding connective tissue are closely adhered. Even if it is a destructive operation, it is necessary to operate for a certain period of time in order to avoid sharp bottle fragments.
To be a patient, the difficulty is really too big.
Cut the junction of the **** and the sigmoid colon. This is the distal end of the sigmoid colon. But it is not now, but after hemostasis treatment.
Next, dissect the rectum.
The anatomical separation of the posterior **** is very difficult, and the anatomically separated regional plane has been metamorphosed and filled with hyperfibrotic enrichment.
After the rectal movement is cut off and connected to the colon, after a partial pause, use long Alice pliers to reach the foreign body through the **** area.
Zheng Ren gently pulled Alice pliers, and the foreign objects did not move.
It seems that the body organization has been tightly wrapped together, and Zheng Ren made a judgment. A glance at the operation time, 15 minutes have passed.
Rough anatomy, Zheng Ren found that the body tissue is like a spider pulling net, forming a sinus through the inflammatory hyperplasia and other modes of proliferation in the body, becoming an alternative rectum.
It’s so young, good health, and Zheng Ren’s heart is amazed. Such a serious infection, even if there is nothing, just so now.
However, it is difficult to find out the toughness of the connective tissue.
Not only to dissect the connective tissue and hyperplastic substances outside, but also to cut off the abnormal proliferation in the bottle, and can not damage the large blood vessels.
This surgery... the difficulty is really too big.
Not only does it have no normal anatomy, but foreign objects are added here. Foreign objects are not counted, or sharp foreign objects.
If you are not careful, the surgeon will get injured and form a cross infection.
Time and by bit, Zheng Ren is dedicated to surgery training.
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"Boss, take a look." Su Yun saw the patient prepared before the surgery, the body was filled with various pipes, instruments, was directly pushed into the operating room, said.
Zheng Ren is blasphemy.
"What do you want?" Su Yun pushed Zheng Ren and asked.
"The operation is very big, it is very difficult to do, tell them to directly send the hybrid operating table, intervention, and open the door." Zheng Ren said faintly.
"..." Su Yun stunned. He frowned and asked: "The patient has to take the stone, how to do the intervention?"
"First supine, take the stone after the intervention."
It is very troublesome to change the patient's position during the operation, and it is easy to cause infection However, Su Yunyi thinks that the **** has been broken, and it is estimated that the infection is infected early. Although there are still some doubts, but did not refute Zheng Ren, small step fast running, chasing up.
Zheng Ren is very sorry.
There is less than one hour of surgery training time.
When there was time in the past, Zheng Ren had imagined that he had to keep certain training time, just in case.
This time, Zheng Ren really realized the pain of not having surgery time.
The idea has been found, but the operation has not been successfully completed, and the remaining training time is consumed in the process of exploration.
Only in this way, Zheng Ren thought of it.
I hope... MD, I can't waste the experience value in the future, it's all human life. He was very helpless and took the initiative to calculate the surgery.
If you have a few more hours of training, then the surgery will be more secure. Although it is still not 100%, patients are more likely to survive.
Zheng Ren sighed and looked different, thanking the big pig hooves. This is the habit of being ruined by the big pig's hoof and will complain. Other doctors, who has this convenience?
Work hard, since you don't know what the accident will be, you can't be as aggressive as the surgery in the system operating room.
This surgery is estimated to not come for ten hours.
While thinking, Zheng Ren has come to the locker room.
Someone is changing clothes, and some people have already rushed to brush their hands and make a list.
Director Ye said that Zheng Ren came in and asked: "Is Zheng boss, intervention in hemostasis surgery, is it necessary?"
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